HIT Consultant

NOVEMBER 9, 2023

Director of Healthcare Strategy, LexisNexis Risk Solutions During the peak of the Covid-19 pandemic, over 10 million Americans enrolled in Medicaid – nearly a 14% increase from the beginning of 2020. A month before the public health emergency ended on May 11, 2023, 87 million individuals were enrolled in Medicaid.

Medicaid 64

Medicaid Medicaid Health Insurance Health Outcomes 64

HIPAA Journal

JUNE 8, 2023

The Iowa Department of Health and Human Services has announced there have been three separate breaches of the protected health information of Iowa Medicaid recipients in the past two months – two hacking incidents and an impermissible disclosure, all three of which involved third-party contractors.

Medicaid 80

Medicaid Medicaid Ransomware Health Insurance 80

HIPAA Journal

JULY 31, 2023

a government services contracting company, has announced in a Securities and Exchange Commission (SEC) filing that hackers exploited a zero-day vulnerability in Progress Software’s MOVEit Transfer solution in May 2023 and accessed the protected health information (PHI) of between 8 and 11 million individuals.

Governance 70

Governance Medicare Medicare Ransomware 70

Bill of Health

JUNE 15, 2023

Merck alleges that the price negotiation program operates as a price control because it effectively requires manufacturers to accept the maximum fair price as a condition of participation in Medicare and Medicaid. For example, under the Fifth Amendment, a taking only occurs where the government fails to provide “just compensation.”

Medicare 190

Medicare Medicare Medicaid Medicaid 190

Health Populi

APRIL 3, 2023

public does not want politicians to “up-end” government-funded health programs, according to the Kaiser Family Foundation’s March 2023 Health Tracking Poll. Suddenly, the role of Federal and State governments takes on a very personal role — and value. A majority of the U.S. voters ages 18 and over.

Medicaid 62

Medicaid Medicaid Medicare Medicare 62

Kaiser Permanente

JANUARY 27, 2022

Medicaid provides health coverage to eligible low-income adults, children, pregnant women, elderly adults and people with disabilities. Medicaid is administered by states, according to federal requirements and is jointly funded by states and the federal government. Kaiser Permanente’s Participation in Oregon Health Plan.

Health Insurance 52

Health Insurance Medicaid Medicaid Governance 52

HIPAA Journal

NOVEMBER 21, 2022

million being defrauded from Medicaid, Medicare, and private health insurance programs. Five state Medicaid programs, two Medicare Administrative Contractors, and two private health insurers were tricked into changing the bank account details for payments. million, and $6.4 million, and $6.4

Medicaid 77

Medicaid Medicaid Medicare Medicare 77

HIPAA Journal

MARCH 15, 2023

FHKC is a state-created entity that offers health and dental insurance to children in Florida between the ages of 5 and 18. FHKC receives Medicaid funds and state funds for providing health insurance programs for children in Florida.

Health Insurance 73

Health Insurance HIPAA Due Diligence Fraud 73

Bill of Health

SEPTEMBER 9, 2022

Consider, for example, the Coronavirus State and Local Fiscal Recovery Funds Program (SLFRF) — enacted as part of the American Rescue Plan Act — which provided $350 billion in flexible aid to state, local, tribal, and territorial governments. This precludes rebuilding the decimated public health workforce.

Public Health 362

Public Health COVID-19 Public Health Professionals Governance 362

Health Populi

MARCH 27, 2019

Health insurance was on the collective minds of American voters in the 2018 midterm elections. Health care, broadly defined, drove many people to the polls voting with feet and ballots to protect their access to a health plan covering a pre-existing condition or to protest the cost of expensive prescription drugs.

Health Insurance 93

Health Insurance ACA Governance Medicare 93

Kaiser Health News

NOVEMBER 22, 2022

Thousands of nurses at Stanford Health Care were told in April they would lose their health insurance if they did not return to work during their weeklong strike. of their income, or about $385 a month, on premiums under a middle-tier health plan. “Never try it again.” “Never try it again.”

Health Insurance 58

Health Insurance Medicaid Medicaid Nurses 58

Kaiser Health News

JUNE 29, 2022

Congress should crack down on Medicare Advantage health plans for seniors that sometimes deny patients vital medical care while overcharging the government billions of dollars every year, government watchdogs told a House panel Tuesday. Cathy Rodgers (R-Wash.)

Medicare 102

Medicare Medicare Governance Overpayments 102

Bill of Health

JANUARY 23, 2024

Medicaid pays for more than 40% of births in the U.S., Examining efforts at the federal and state level, I highlight three options, leveraging Medicaid as a policy lever. In the past, when individuals were Medicaid-eligible due to pregnancy, federal law required states to provide coverage for at least 60 days postpartum.

Medicaid 111

Medicaid Medicaid Patient Satisfaction Health Insurance 111

HIPAA Journal

APRIL 29, 2024

Berry, Dunn, McNeil & Parker, LLC (BerryDunn) provides health data analytics services to healthcare providers, health insurers, and government regulatory and healthcare policy agencies and its clients provide BerryDunn with personal and health data to allow the firm to perform its contracted services.

Health Insurance 95

Health Insurance Health Analytics HIPAA Medicaid 95

Kaiser Health News

APRIL 8, 2022

Prescription drug costs for California’s massive Medicaid program were draining the state budget, so in 2019 Gov. The new Medicaid drug program debuted this January, with a private company in charge. Centene was already a big player in state Medicaid drug programs — but one with a questionable record. SACRAMENTO, Calif.

Medicaid 89

Medicaid Medicaid Health Insurance COVID-19 89

Center for Health Insurance Reform

JANUARY 20, 2022

The federal government has taken a series of actions to strengthen the Affordable Care Act (ACA) and Medicaid, and the Biden administration has announced its intent to do more in this arena.

ACA 98

ACA Federal Policy Health Insurance Medicaid 98

Healthcare Law Blog

APRIL 6, 2022

On April 1, 2022 , the Centers for Medicare & Medicaid Services (“CMS”) announced states may seek to extend Medicaid postpartum coverage from 60 days to one year through a new state plan option offered by the American Rescue Plan Act (“ARPA”). In states that have not expanded Medicaid, however, many postpartum women lose coverage.

Medicaid 52

Medicaid Medicaid ACA Public Health 52

C&M Health Law

JANUARY 25, 2023

trillion spending package, which consists of all 12 fiscal year (FY) 2023 appropriations bills and funds the federal government through September 30, 2023, provides additional assistance to Ukraine, and makes numerous health care policy changes. These requirements would also apply to state Medicaid fee-for-service programs.

Medicaid 104

Medicaid Medicaid Medicare Medicare 104

Health Populi

JUNE 25, 2020

” As health insurance for working-age people is tied to employment, COVID-19 led to disproportionate loss of health plan coverage especially among people earning lower incomes, as well as non-white workers, explained in the Commonwealth Fund Health Care Poll: COVID-19, May-June 2020. .” 23% were Hispanic.

Health Insurance 68

Health Insurance COVID-19 ACA Medicaid 68

Bill of Health

DECEMBER 6, 2023

By Hannah Rahim Many mental health provider directories for private and public insurance plans contain inaccurate or outdated provider information , which creates a misleading illusion of accessible care. These ghost networks result in many patients being unable to access essential mental health care.

Governance 144

Governance Medicaid Medicaid Medicare 144

Health Populi

JUNE 3, 2021

So you might think that the most important public priority for Congress might have something to do with COVID-19, vaccines, or health insurance coverage. adults said that allowing the federal government and private insurance plans to negotiate for lower prices on Rx drugs was their top priority. Two-thirds of U.S.

Governance 68

Governance COVID-19 Vaccine COVID-19 Medicare 68

Health Populi

DECEMBER 6, 2018

believe that the Federal government should ensure that their fellow Americans, a new Gallup Poll found. This asked people whether they would prefer a government-run health system. Most Democrats believe that the government should both ensure universal healthcare and run it. Most people in the U.S.

Governance 71

Governance Medical Billing Medicaid Medicaid 71

Kaiser Health News

APRIL 16, 2024

District Court for the Southern District of Florida, two such call centers paid tens of thousands of dollars a day to buy names of people who responded to misleading advertisements touting free government “subsidies” and other rewards. Some consumers were switched multiple times or had duplicative policies.

ACA 131

ACA Health Insurance Governance Medical Billing 131

Center for Health Insurance Reform

MAY 15, 2024

The Centers for Medicare & Medicaid Services have recently finalized rules and standards governing health plans and Marketplaces under the Affordable Care Act.

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

Health Populi

JUNE 18, 2021

with employer-sponsored health insurance worry that a major health event in their household could lead to bankruptcy, according to research gathered by West Health and Gallup in Business Speaks: The Future of Employer-Sponsored Insurance. Health Populi’s Hot Points: U.S. One-half of U.S.

ACA 133

ACA Health Insurance Medicaid Medicaid 133

Health Populi

SEPTEMBER 17, 2020

Census Bureau found that the level of health insurance enrollment fell by 1 million people in 2019 , with about 30 million Americans not covered by health insurance. The coronavirus pandemic has only exacerbated the erosion of the health insured population. lacked health insurance.

COVID-19 62

COVID-19 Health Insurance Public Health Health Care Access 62

HIT Consultant

MARCH 8, 2022

The steep incline in unemployment and fears that millions of people would lose their health coverage drove the declaration of the national public health emergency (PHE) on January 31, 2020. Under the PHE, states must keep Medicaid enrollees continuously covered, irrespective of their circumstances. .

Public Health 98

Public Health Medicaid Medicaid Health Insurance 98

Bill of Health

MARCH 15, 2022

Similarly, our health care system is a significant barrier to employment because most private health insurance companies do not cover critical supports for disabled people, such as personal assistant services. However, expanding safety net programs , such as SSI and Medicaid, would be important as an interim measure.

COVID-19 246

COVID-19 ADA Medicaid Medicaid 246

HIT Consultant

JULY 17, 2023

Cessation of PHE telehealth, prescribing, and mental health access exceptions could impact the Medicaid population the most. Twenty-one percent of Medicaid enrollees have mild, moderate, or severe SUD, compared to 16% of commercially insured individuals. And as of the latest data, 7.3% And as of the latest data, 7.3%

Public Health 98

Public Health Medicaid Medicaid Electronic Medical Records 98

Bill of Health

FEBRUARY 28, 2023

That approach successfully transformed public and private health care — albeit not without challenges for coordination and political resistance — through the Patient Protection and Affordable Care Act of 2010. This was accomplished by the U.S.

Public Health 176

Public Health COVID-19 Medicaid Medicaid 176

American Medical Compliance

JANUARY 9, 2024

When someone uses your personal information, such as your name, Social Security number, or Medicare number, to make false claims to Medicare and other health insurers without your consent, it is known as medical identity theft. This wastes taxpayer money and interferes with your medical care. trillion in 2015.

Fraud 52

Fraud Medicare Medicare Compliance 52

MedTrainer

MAY 21, 2024

With the odds of a person entering your healthcare facility dealing with a behavioral or mental health issue at about 20% , new and existing clinical providers must receive behavioral health compliance training to ensure patients receive the highest quality care.

Compliance 52

Compliance Medicaid Medicaid HIPAA 52

Medisys Compliance

FEBRUARY 27, 2024

Understanding Regulatory Framework Radiology billing is governed by a multitude of regulations at the federal, state, and local levels. Radiology practices must stay updated on these regulations to ensure compliance. Our expert team ensures accuracy and adherence to regulations, optimizing revenue for radiology practices.

Compliance 59

Compliance Medical Billing Outsourcing Medicare Medicare 59

HIT Consultant

OCTOBER 6, 2022

The latest developments in the United States have pointed toward the management crisis and the chaotic reaction of the country’s government officials during the pandemic. The pandemic also revealed that the United States has failed to draft efficient health insurance policies. The least preparedness of the U.S.

COVID-19 75

COVID-19 US Department of Health and Human Services Telemedicine COVID-19 Vaccine 75

Health Care Law Brief

FEBRUARY 2, 2023

Similar to Medicare and Medicaid, private health plans may begin requiring its members to pay certain cost-sharing amounts and requiring prior authorizations for COVID-19 testing, treatments, and related services.

COVID-19 98

COVID-19 Medicare Medicare Medicaid 98

C&M Health Law

FEBRUARY 16, 2021

On November 13, 2020, the Centers for Medicare & Medicaid Services (“CMS”) published a final rule , demonstrating long-awaited efforts to streamline the regulatory framework governing the Medicaid and Children’s Health Insurance Program (“CHIP”) managed care programs. Actuarial Soundness.

Medicaid 40

Medicaid Medicaid Medicare Medicare 40

Healthcare IT News - Telehealth

FEBRUARY 3, 2023

WHY IT MATTERS The bill aims to keep stand-alone telehealth benefits separate, not as a replacement of medical plans, offering them under a group health plan or group health insurance coverage as excepted benefits. In addition to improving access, telehealth reduces burdens on healthcare providers.

Public Health 163

Public Health COVID-19 Medicare Medicare 163